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Jodi Mollica Lcsw Llc
Clinic/Center in Royal Oak, Michigan
NPI 1114561941

Jodi Mollica Lcsw Llc is a Clinic/Center based in Royal Oak, MI. Jodi Mollica Lcsw Llc practices in Royal Oak, MI. The NPI Number for Jodi Mollica Lcsw Llc is 1114561941 and holds a License No. (Michigan).

The current practice location address for Jodi Mollica Lcsw Llc is 628 E Parent Ave Ste 506, Royal Oak, MI and can be reached out via phone at 248-321-8684. You can also correspond with Jodi Mollica Lcsw Llc through the mailing address at 1040 MOHAWK AVE, ROYAL OAK, MI - 48067-3330 (mailing address contact number: 248-321-8684).

Location: 628 E Parent Ave Ste 506, Royal Oak, MI, 48067-3330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114561941
Provider Name
Jodi Mollica Lcsw Llc
Credential
Provider Entity Type
Organization
Address
628 E Parent Ave Ste 506, Royal Oak, MI, 48067-3330
Phone Number
248-321-8684
Fax Number
Provider Enumeration Date
11/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6801091687 01 MI LICENSE
institution
Provider Business Practice Location Address Details
Address
628 E Parent Ave Ste 506
City
Royal Oak
State
Michigan
Zip
48067-3768
Phone Number
248-321-8684
Fax Number
person
Provider Business Mailing Address Details
Address
628 E Parent Ave Ste 506
City
Royal Oak
State
Michigan
Zip
48067-3768
Phone Number
248-321-8684
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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